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Would you consider a primary prevention ICD in a patient with hypertrophic cardiomyopathy and non-sustained ventricular tachycardia, in the absence of any other high risk predictors for sudden cardiac death?

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Mednet Member
Mednet Member
Cardiology · Baylor College of Medicine/ Texas Children's Hospital

Nonsustained ventricular tachycardia in hypertrophic cardiomyopathy without major risk factors (IIa primary prevention risk factors in 2020 ACC AHA HCM guidelines – max wall thickness >3 cm, FH SCD, LVEF <50%, unexplained syncope, LV apical aneurysm) remains a minor risk factor in adults (IIb consid...

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Mednet Member
Mednet Member
Cardiology · Mayo Clinic

Holter while awaiting CMR, if increased LGE on CMR would consider primary prevention ICD.

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